401k Plan data: CEI MEDICAL PLAN plan

CEI MEDICAL PLAN 401k Plan overview

Plan Name	CEI MEDICAL PLAN
Plan identification number	501

CEI MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

STAFFORD LOGISTICS, INC. DBA CUSTOM ECOLOGY, INC. has sponsored the creation of one or more 401k plans.

Company Name: STAFFORD LOGISTICS, INC. DBA CUSTOM ECOLOGY, INC.

Employer identification number (EIN): 743162184

NAIC Classification: 562000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CEI MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-04-01
501 2016-04-01 BRAD C. GUY 2021-01-14
501 2015-04-01 STACY STAPLETEN
501 2014-04-01 TOM GIOIA
501 2013-04-01 TOM GIOIA
501 2012-04-01 TOM GIOIA

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2016-04-01
501	2016-04-01	BRAD C. GUY	2021-01-14
501	2015-04-01	STACY STAPLETEN
501	2014-04-01	TOM GIOIA
501	2013-04-01	TOM GIOIA
501	2012-04-01	TOM GIOIA

Plan Statistics for CEI MEDICAL PLAN

401k plan membership statisitcs for CEI MEDICAL PLAN

Measure Date Value
2016: CEI MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-04-01 345
Total number of active participants reported on line 7a of the Form 5500 2016-04-01 500
Number of retired or separated participants receiving benefits 2016-04-01 3
Number of other retired or separated participants entitled to future benefits 2016-04-01 0
Total of all active and inactive participants 2016-04-01 503
Number of employers contributing to the scheme 2016-04-01 0
2015: CEI MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-04-01 157
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 237
Number of retired or separated participants receiving benefits 2015-04-01 0
Number of other retired or separated participants entitled to future benefits 2015-04-01 0
Total of all active and inactive participants 2015-04-01 237
2014: CEI MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-04-01 157
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 157
Number of retired or separated participants receiving benefits 2014-04-01 0
Number of other retired or separated participants entitled to future benefits 2014-04-01 0
Total of all active and inactive participants 2014-04-01 157
2013: CEI MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-04-01 109
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 157
Number of retired or separated participants receiving benefits 2013-04-01 0
Number of other retired or separated participants entitled to future benefits 2013-04-01 0
Total of all active and inactive participants 2013-04-01 157
2012: CEI MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 100
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 108
Number of retired or separated participants receiving benefits 2012-04-01 0
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 108

Measure	Date	Value
2016: CEI MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-04-01	345
Total number of active participants reported on line 7a of the Form 5500	2016-04-01	500
Number of retired or separated participants receiving benefits	2016-04-01	3
Number of other retired or separated participants entitled to future benefits	2016-04-01	0
Total of all active and inactive participants	2016-04-01	503
Number of employers contributing to the scheme	2016-04-01	0
2015: CEI MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-04-01	157
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	237
Number of retired or separated participants receiving benefits	2015-04-01	0
Number of other retired or separated participants entitled to future benefits	2015-04-01	0
Total of all active and inactive participants	2015-04-01	237
2014: CEI MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-04-01	157
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	157
Number of retired or separated participants receiving benefits	2014-04-01	0
Number of other retired or separated participants entitled to future benefits	2014-04-01	0
Total of all active and inactive participants	2014-04-01	157
2013: CEI MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-04-01	109
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	157
Number of retired or separated participants receiving benefits	2013-04-01	0
Number of other retired or separated participants entitled to future benefits	2013-04-01	0
Total of all active and inactive participants	2013-04-01	157
2012: CEI MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	100
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	108
Number of retired or separated participants receiving benefits	2012-04-01	0
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	108

Form 5500 Responses for CEI MEDICAL PLAN

2016: CEI MEDICAL PLAN 2016 form 5500 responses
2016-04-01	Type of plan entity	Single employer plan
2016-04-01	Submission has been amended	No
2016-04-01	This submission is the final filing	No
2016-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-04-01	Plan is a collectively bargained plan	No
2016-04-01	Plan funding arrangement – Insurance	Yes
2016-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-04-01	Plan benefit arrangement – Insurance	Yes
2016-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: CEI MEDICAL PLAN 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	Submission has been amended	No
2015-04-01	This submission is the final filing	No
2015-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-04-01	Plan is a collectively bargained plan	No
2015-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: CEI MEDICAL PLAN 2014 form 5500 responses
2014-04-01	Type of plan entity	Single employer plan
2014-04-01	Submission has been amended	No
2014-04-01	This submission is the final filing	No
2014-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-04-01	Plan is a collectively bargained plan	No
2014-04-01	Plan funding arrangement – Insurance	Yes
2014-04-01	Plan benefit arrangement – Insurance	Yes
2013: CEI MEDICAL PLAN 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Submission has been amended	No
2013-04-01	This submission is the final filing	No
2013-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2012: CEI MEDICAL PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	First time form 5500 has been submitted	Yes
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

78F115ERC

Policy instance

Insurance contract or identification number	78F115ERC
Number of Individuals Covered	166
Insurance policy start date	2016-02-01
Insurance policy end date	2017-01-31
Total amount of commissions paid to insurance broker	USD $33,540
Total amount of fees paid to insurance company	USD $19,538
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $33,540
Amount paid for insurance broker fees	16269
Additional information about fees paid to insurance broker	INDIRECT COMPENSATION
Insurance broker organization code?	3

Potentially related plans

CEI MEDICAL PLAN [EIN = 251719434]

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Company Name:	STAFFORD LOGISTICS, INC. DBA CUSTOM ECOLOGY, INC.
Employer identification number (EIN):	743162184
NAIC Classification:	562000